Organization
BEDSIDE HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORLET TAYLOR SONNIER LPN (ADMINISTRATOR/OWNER)
(504) 941-5881
Entity
Organization
Contact information
Practice address
1455 N. CLAIBORNE AVE, NEW ORLEANS, LA 70116
(504) 941-5881
Mailing address
1455 N. CLAIBORNE AVE, NEW ORLEANS, LA 70116
(504) 941-5881
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
20190
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20190
—
LA
Enumeration date
09/15/2009
Last updated
09/15/2009
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